HomeMy WebLinkAbout1995-007608 - fireplace P�RMIT
CITY OF ORONO ' - - --
2750 Kelley Parkway- P.O. Box 66 PERMIT TYPE: :�,; ;. , ., _,
Permit Number. � � ~ '��� `��'�
Crystal Bay, Minnesota 55323 _' ` _
(612) 473-7357 Date Issued:
SITE ADDRESS:
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DESCRIPTION:
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REMARKS:
FEE SUMMARY:
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ANT'PERMITEE SIGNATURE ISSUED BY:SIGNATURE
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CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORI�IATION
1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be
reviewed and a permit will be issued within 2 working days.
2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID
UNTIL YOU RECEIVE A PER'v1IT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS
POSTED ON THE JOB SITE.
3. Mechanical Desiens - Complete calculations, details and specifications are required for each heating,
ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain
calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model.
Data shall be presented on form provided. Ideatification of and specifications for water heating equipment
shall also be provided.
4. When any new construction or remodeling is involved, a separate building permit must be obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected (rough-in and final). Call 473-7357. 24-hour notice required.
7. House Heating Test Record must be submitted before final.
Instructions Complete all items on this application. Compute the pemut fee. Sign and date the certification.
INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 473-7357.
Please check one: x New Addition Repair Replace �
�_ Residential Commercial � �,"} � �#
JOB SITE• � a �7 0 /l�o✓L�+� 5'r�-Q�-` �� �f�`y Z���'t�1 ZiP� .�S 3 9/ "
Owner's Name: 5'��Y> 1-� A SN f� ► � Telephone Number:f��/ - �$ ! 0
Mailing Address: 3 0�7 o N'a27N S,�/C.::' �L City:�,�}a�ZN;A Zip: .s:s' 3 �� �;
Contractor'sName:�llu�c��"' -' -�`�.-� ��r ��'�'l— Tel honeNumber: �f,; -L�6 / �
MailingAddress:Z v o. , i2�/ City• � ��Yic-L� Zip: ;�''��'T�3 ,�
SYSTEM DESCRIPTION � ��
HEATING SYSTEMS
Quantity: �
Make: cs� -`� �
Model: 13 A y ��
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Fuel: Jl1 A � , �'
Flue Size: bi✓l�ti�✓��7d��� ; �
Input BTUs: 'L 7, � � �
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H. Power
/(P U,�
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WOOD BURNING EQUIPMENT
Wood stove with flue
Wood combination or add-on
Factory fireplace with flue
Factory Fireplace (s) Freestanding Masonry
Wood Stove (s) Franklin, other
Brand Name Model No.
Mfgr's Min., Clearances, side , rear , min. flue dia.
Total
VENTILATION
No. Kitchen E�aust ducted recirculating cfm
No. Bath Exhaust (must be ducted outside) cfm
No. Other Fans: Locations cfm
Total
FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL)
Installation Removal
Fuel oil: gallons underground inside outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION
1. 1.25% of Contract Price* or Minimum Fee ($35.00)
� ��,� o� x .0125 $
(contract price)
2. State Surcharge. ** Add the State Building Code Division
Surchai•ge to each permit. x .0005 $
(contract price)
��a or $.50, whichever is greater
�'�� 3. Posta�e and Handlin� (Gnly mail-in applications) $ 1.50
� 4. TOTAL PERMIT FEE (Add lines 1-3 above) $
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* CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted
work including materials, labor, profit, and other fixed costs. It is the amount to be chazged to the
customer for the work done. If any material, equipment, labor, or installation are fumished by the owner,
tenant or any other party the reasonable market value of such items must be added to the estimated cost
or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost,
the City may request the submission of a signed copy of the actual contract.
** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is
greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price.
The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do
all work in strict accordance with the ordinances of the City and the regulations of the Minnesota
��_:;: State Building Code, and certifies that all tatements made on this application are complete, true
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and correct. ��
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' Applicant's Signature: Date: � �'
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�° Approved By: / Date:
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CITY OF ORONO CALLED IN ' ;DA�� TIME
INSPECTION NOTICE SCHEDULED =���� �
PERMIT N0. r7C�C�g COMPLETED
ADDRESS � � !� •
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OWNE CONTR.
TELEPHONE NO. -�c�/O '' ' 33��—
� DESCRIPTION � a y
� 01 FOOTINO ME ICAL RI 18IXCAV/CiRADINO/FIWNO
y 02 FRAMINO 13 MECHANICAL Fl 19 LAI�SHOREJWETLANDS
� 03 INSULATION 24/25 WOOD BURN REPLA 34 TqEE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
ti� p5 FI 14 SEWER HOOK-UO O6 PROGRESS
J 07 DEMO�ITE 27 SEPTIC MAINT. 21 COMPLAINT
W 07 DEMO—FINAL 15 SEPTIC INSTALL 22 FOLLOW-UP
= 09 PIUMBINCi RI 23 SEPTIC FlNAL 35 HARD COVER REMOVAL
v 10 PLUMBINO FlNAL 36 FOUNDATION FiEMOVAL
Z OWNER/CONTRACTOR TO MEET YOU: YES_NO
��„ COMMENTS:
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d ORK SATISFACTORY:PROCEED � PROJECT COMPLETE
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� ORRECT WORK&PROCEED G ISSUE CERTIFICATE OF OCCUPANCY
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� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
0 CORRECTUNSAFECONDITIONWITHIN HOURS. C PHOTOTAKEN
INSPECTOR WILL RETURN ❑CITATION ISSUED
❑STOP ORDER POSTEO.CALL INSPECTOR
❑ INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Call for n xt nspection 24 hours in advance.473-7357
OwnerlCon or o s' e:
Inspector.
White Copyllnspector's File Canary Copy/Sife Notice